Individual
MICHAEL HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5533 MAHONING AVE, SUITE D, YOUNGSTOWN, OH 44515-2366
(330) 793-7966
(330) 793-8688
Mailing address
5533 MAHONING AVE, SUITE D, YOUNGSTOWN, OH 44515-2366
(330) 793-7966
(330) 793-8688
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35070508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258984
—
OH
Enumeration date
09/07/2006
Last updated
01/19/2010
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